Is anyone else running into issues with their pharmacy with most recent JC surveys such as the following: "Anesthesia completes wastage and associated documentation at the end of each case and or within 1 hour of drug access; whichever is lesser" "Single dose vials were used to provide multiple doses" ***Short version: they want us to only dose once per vial for fentanyl, propofol, phenylephrine, ephedrine, etc. And they want every medication to be wasted one hour after being pulled out. So if you pull out a medication 30 minutes prior to your case getting ready for next case. Then, take 30 minutes to drop patient off in PACU, see next patient, induce, position, prep, drape, etc. You should already be wasting and pulling out your second vial at the incision time (granted that times are a bit more than needed). Just seems beyond ridiculous and I can't believe that these are real. These are the policy changes implemented which are frustrating, especially when there are so many medication shortages! This change was actually way better than the previously suggestion to dispose after every dose. Can you imagine doing an induction? Versed/Lido/Fentanyl 50 mcg...waste. Propofol 150 mg.....waste. Sux.....waste. Oops, need more propofol. Pull out new vial and syringe. 50 mg.....waste. Oops, original propofol wore off. More propofol....waste. Hypertensive after induction....more fentanyl....more waste....I hope the sux hasn't wore off....etc, etc. I have tried explaining this to someone that obviously doesn't comprehend how this is impossible in an OR. If anyone else has dealt with this, I would love some feedbacak. Or your $0.02 even if you haven't dealt with it. Thanks!